RT Journal Article
T1 Dietary Diversity and Nutritional Adequacy among an Older Spanish Population with Metabolic Syndrome in the PREDIMED-Plus Study: A Cross-Sectional Analysis.
A1 Cano-Ibañez, Naomi
A1 Gea, Alfredo
A1 Martinez-Gonzalez, Miguel A.
A1 Salas-Salvado, Jordi
A1 Corella, Dolores
A1 Zomeño, M. Dolors
A1 Romaguera, Dora
A1 Vioque, Jesus
A1 Aros, Fernando
A1 Warnberg, Julia
A1 Martinez, J. Alfredo
A1 Serra-Majem, Lluis
A1 Estruch, Ramon
A1 Tinahones, Francisco J.
A1 Lapetra, Jose
A1 Pinto, Xavier
A1 Tur, Josep A.
A1 Garcia-Rios, Antonio
A1 Riquelme-Gallego, Blanca
A1 Delgado-Rodriguez, Miguel
A1 Matia, Pilar
A1 Daimiel, Lidia
A1 Martin, Vicente
A1 Vidal, Josep
A1 Vazquez, Clotilde
A1 Ros, Emilio
A1 Buil-Cosiales, Pilar
A1 Diaz-Lopez, Andres
A1 Fernandez-Carrion, Rebeca
A1 Fito, Montserrat
A1 Konieczna, Jadwiga
A1 Notario-Barandiaran, Leyre
A1 Alonso-Gomez, Angel M.
A1 Contreras-Fernandez, Eugenio
A1 Abete, Itziar
A1 Sanchez-Villegas, Almudena
A1 Casas, Rosa
A1 Muñoz-Garach, Araceli
A1 Santos-Lozano, Jose Manuel
A1 Gallardo-Alfaro, Laura
A1 Basora, Josep
A1 Portoles, Olga
A1 Muñoz, Miguel Angel
A1 Moñino, Manuel
A1 Miralles Gisbert, Salvador
A1 Moreno Rodriguez, Anai
A1 Ruiz-Canela, Miguel
A1 Palau Galindo, Antoni
A1 Perez-Vega, Karla Alejandra
A1 Bueno-Cavanillas, Aurora
K1 PREDIMED-Plus study
K1 Aging
K1 Dietary diversity
K1 Metabolic syndrome
K1 Nutrient adequacy
AB Dietary guidelines emphasize the importance of a varied diet to provide an adequate nutrient intake. However, an older age is often associated with consumption of monotonous diets that can be nutritionally inadequate, increasing the risk for the development or progression of diet-related chronic diseases, such as metabolic syndrome (MetS). To assess the association between dietary diversity (DD) and nutrient intake adequacy and to identify demographic variables associated with DD, we cross-sectionally analyzed baseline data from the PREDIMED-Plus trial: 6587 Spanish adults aged 55-75 years, with overweight/obesity who also had MetS. An energy-adjusted dietary diversity score (DDS) was calculated using a 143-item validated semi-quantitative food frequency questionnaire (FFQ). Nutrient inadequacy was defined as an intake below 2/3 of the dietary reference intake (DRI) forat least four of 17 nutrients proposed by the Institute of Medicine (IOM). Logistic regression models were used to evaluate the association between DDS and the risk of nutritionally inadequate intakes. In the higher DDS quartile there were more women and less current smokers. Compared with subjects in the highest DDS quartile, those in the lowest DDS quartile had a higher risk of inadequate nutrient intake: odds ratio (OR) = 28.56 (95% confidence interval (CI) 20.80-39.21). When we estimated food varietyfor each of the food groups, participants in the lowest quartile had a higher risk of inadequate nutrient intake for the groups of vegetables, OR = 14.03 (95% CI 10.55-18.65), fruits OR = 11.62 (95% CI 6.81-19.81), dairy products OR = 6.54 (95% CI 4.64-9.22) and protein foods OR = 6.60 (95% CI 1.96-22.24). As DDS decreased, the risk of inadequate nutrients intake rose. Given the impact of nutrient intake adequacy on the prevention of non-communicable diseases, health policies should focus on the promotion of a healthy varied diet, specifically promoting the intake of vegetables and fruit among population groups with lower DDS such as men, smokers or widow(er)s.
PB MDPI AG
YR 2019
FD 2019-04-24
LK http://hdl.handle.net/10668/13892
UL http://hdl.handle.net/10668/13892
LA en
NO Cano-Ibáñez N, Gea A, Martínez-González MA, Salas-Salvadó J, Corella D, Zomeño MD, et al. Dietary diversity and nutritional adequacy among an older Spanish population with metabolic syndrome in the PREDIMED-Plus study: a cross-sectional analysis. Nutrients. 2019 Apr 26;11(5):958
NO The first author would like to acknowledge support by the Ministry of Education of Spain (FPU14/03630). The authors especially thank the PREDIMED-Plus participants for their collaboration and the PREDIMED-Plus staff for their support and effort. The authors also wish to thank Ingrid de Ruiter, MBChB, PhD, for English language support.
DS RISalud
RD Apr 6, 2025